Passport 12m/Passport 17m

Patient Monitor

Operator’s Manual

Passport 12m/Passport 17m Operator's Manual I

© Copyright 2013 - 2019 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.

Release time: 2019-08

Revision: 17.0

WARNING

Federal Law (USA) restricts this device to sale by or on the order of a physician or other practitioner licensed

by U.S. state law to use or order the use of this device.

Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property

rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents

and does not convey any license under the patent rights or copyright of Mindray, or of others.

Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in

this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

Release, amendment, reproduction, distribution, rental, adaption and translation or any other derivative work of this

manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

, , and are the trademarks, registered or otherwise, of Mindray in China and other

countries. All other trademarks that appear in this manual are used only for information or editorial purposes. They are

the property of their respective owners.

This posting serves as notice under 35 U.S.C.§287(a) for Mindray patents: http://www.mindrayna.com/patents.

II Passport 12m/Passport 17m Operator's Manual

Manufacturer’s Responsibility Contents of this manual are subject to changes without prior notice.

All information contained in this manual is believed to be correct. Mindray is not liable for errors contained herein nor for

incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

Mindray is responsible for the effects on safety, reliability and performance of this product, only if:

all installation operations, expansions, changes, modifications and repairs of this product are conducted by Mindray

authorized personnel;

the electrical installation of the relevant room complies with the applicable national and local requirements;

the product is used in accordance with the instructions for use.

WARNING

Only skilled/trained clinical professionals should operate this equipment.

It is important for the hospital or organization that uses this equipment to perform a recommended

service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.

Passport 12m/Passport 17m Operator's Manual III

Service Mindray maintains a network of service representatives and factory-trained distributors. Prior to requesting service,

perform a complete operational check of the instrument to verify proper control settings. If operational problems

continue to exist, contact Mindray Service.

In North America contact the Service Department at (800) 288-2121, ext: 8116 for Technical Support or (201) 995-8000

for assistance in determining the nearest field service location.

Please include the instrument model number, the serial number, and a description of the problem with all requests for

service.

Any questions regarding the warranty should be directed to your local sales or service representative.

Company Contact Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address: Mindray Building, Keji 12th Road South, High-tech industrial park, Nanshan,Shenzhen

518057,P.R.China

Website: www.mindray.com

E-mail Address: service@mindray.com

Tel: +86 755 81888998

Fax: +86 755 26582680

Distributor: Mindray DS USA, Inc.

Address: 800 MacArthur Boulevard, Mahwah, New Jersey, 07430 USA

Tel: 1.800.288.2121, 1.201.995.8000

Website: www.mindray.com

IV Passport 12m/Passport 17m Operator's Manual

Preface Manual Purpose

This manual contains the instructions necessary to operate the product safely and in accordance with its function and

intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and

ensures patient and operator safety.

This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you

have any question, please contact Mindray.

This manual is an integral part of the product. It should always be kept close to the equipment so that it can be

conveniently referenced when needed.

Intended Audience

This manual is intended for clinical professionals who are expected to have a working knowledge of medical procedures,

practices and terminology as required for monitoring of patients.

Illustrations

All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on

your monitor.

Conventions

Italic text is used to quote the referenced chapters or sections.

[ ] is used to enclose screen texts.

→ is used to indicate operational procedures.

Passport 12m/Passport 17m Operator's Manual 1

Contents

1 Safety.............................................................................................................................................................................. 1-1

1.1 Safety Information .................................................................................................................................................................................... 1-1

1.1.1 Warnings ........................................................................................................................................................................................ 1-1

1.1.2 Cautions ......................................................................................................................................................................................... 1-2

1.1.3 Notes ............................................................................................................................................................................................... 1-3

1.2 Equipment Symbols ................................................................................................................................................................................. 1-3

2 The Basics ....................................................................................................................................................................... 2-1

2.1 Monitor Description ................................................................................................................................................................................. 2-1

2.1.1 Intended Use ................................................................................................................................................................................ 2-1

2.1.2 Applied Parts ................................................................................................................................................................................ 2-2

2.2 Main Unit ..................................................................................................................................................................................................... 2-2

2.2.1 Front View ...................................................................................................................................................................................... 2-2

2.2.2 Side View ........................................................................................................................................................................................ 2-4

2.2.3 Rear View ....................................................................................................................................................................................... 2-5

2.2.4 Bottom View (Passport 17m) ................................................................................................................................................... 2-7

2.3 Satellite Module Rack .............................................................................................................................................................................. 2-8

2.4 Modules ..................................................................................................................................................................................................... 2-10

2.4.1 Multi-Parameter Module ......................................................................................................................................................... 2-11

2.4.2 T1 .................................................................................................................................................................................................... 2-13

2.4.3 N1 ................................................................................................................................................................................................... 2-14

2.5 Display Screen ......................................................................................................................................................................................... 2-15

2.6 QuickKeys .................................................................................................................................................................................................. 2-17

3 Basic Operations ............................................................................................................................................................ 3-1

3.1 Installation .................................................................................................................................................................................................. 3-1

3.1.1 Unpacking and Checking ......................................................................................................................................................... 3-1

3.1.2 Environmental Requirements ................................................................................................................................................. 3-2

3.2 Getting Started .......................................................................................................................................................................................... 3-2

3.2.1 Connecting to Power Source ................................................................................................................................................... 3-2

3.2.2 Turning Power On ....................................................................................................................................................................... 3-3

3.2.3 Starting Monitoring .................................................................................................................................................................... 3-4

3.3 Turning Off the Monitor .......................................................................................................................................................................... 3-4

3.4 Using the Knob .......................................................................................................................................................................................... 3-5

3.5 Using a Mouse ........................................................................................................................................................................................... 3-5

3.6 Using Keys ................................................................................................................................................................................................... 3-5

3.7 Using the On-screen Keyboard ............................................................................................................................................................ 3-6

3.8 Using the Touchscreen ............................................................................................................................................................................ 3-6

3.9 Using the [Main Menu] ........................................................................................................................................................................... 3-6

3.10 Setting the Screen .................................................................................................................................................................................. 3-7

3.11 Displaying the Timer .............................................................................................................................................................................. 3-8

3.12 Changing General Settings ................................................................................................................................................................. 3-9

3.12.1 Setting up a Monitor ................................................................................................................................................................ 3-9

2 Passport 12m/Passport 17m Operator's Manual

3.12.2 Changing Language ................................................................................................................................................................ 3-9

3.12.3 Adjusting the Screen Brightness ........................................................................................................................................ 3-10

3.12.4 Showing/Hiding the Help Text ........................................................................................................................................... 3-10

3.12.5 Setting the Date and Time ................................................................................................................................................... 3-10

3.12.6 Adjusting Volume ................................................................................................................................................................... 3-10

3.13 Setting Parameters .............................................................................................................................................................................. 3-11

3.13.1 Switching the Parameters On/Off ...................................................................................................................................... 3-11

3.13.2 Accessing the Parameters Menu ........................................................................................................................................ 3-12

3.13.3 Removing a Module Conflict ............................................................................................................................................... 3-12

3.14 Using a CF Storage Card ..................................................................................................................................................................... 3-13

3.15 Operating Modes ................................................................................................................................................................................. 3-14

3.15.1 Monitoring Mode.................................................................................................................................................................... 3-14

3.15.2 Night Mode ............................................................................................................................................................................... 3-14

3.15.3 Privacy Mode ............................................................................................................................................................................ 3-15

3.15.4 Standby Mode ......................................................................................................................................................................... 3-15

4 Managing Patients ......................................................................................................................................................... 4-1

4.1 Admitting a Patient .................................................................................................................................................................................. 4-1

4.2 Quick Admitting a Patient ...................................................................................................................................................................... 4-2

4.3 Setting the Monitor Location ................................................................................................................................................................ 4-2

4.4 Querying and Obtaining Patient Information ................................................................................................................................. 4-2

4.5 Querying from Local Facility ................................................................................................................................................................. 4-3

4.6 Associating Patient Information ........................................................................................................................................................... 4-3

4.7 Editing Patient Information ................................................................................................................................................................... 4-3

4.8 Discharging a Patient .............................................................................................................................................................................. 4-4

4.9 Transferring Patient Data ........................................................................................................................................................................ 4-4

4.9.1 Transferring Patient Data via MPM/T1/N1 ........................................................................................................................... 4-5

4.9.2 Transferring Patient Data via a CF Storage Card or USB Drive ....................................................................................... 4-6

4.10 Connecting to a CMS............................................................................................................................................................................. 4-7

5 Managing Configurations ............................................................................................................................................. 5-1

5.1 Introduction ............................................................................................................................................................................................... 5-1

5.2 Accessing the [Manage Configuration] Menu ................................................................................................................................. 5-2

5.3 Changing Department ............................................................................................................................................................................ 5-2

5.4 Setting Default Configuration .............................................................................................................................................................. 5-3

5.5 Saving Current Settings .......................................................................................................................................................................... 5-3

5.6 Editing Configurations ............................................................................................................................................................................ 5-4

5.7 Deleting a Configuration ........................................................................................................................................................................ 5-5

5.8 Transferring a Configuration ................................................................................................................................................................. 5-5

5.9 Loading a Configuration ......................................................................................................................................................................... 5-5

5.10 Restoring the Latest Configuration Automatically ....................................................................................................................... 5-6

6 User Screens ................................................................................................................................................................... 6-1

6.1 Configuring Your Screens ....................................................................................................................................................................... 6-1

6.1.1 Changing the Waveform Line Size ......................................................................................................................................... 6-1

6.1.2 Changing Measurement Colors .............................................................................................................................................. 6-1

Passport 12m/Passport 17m Operator's Manual 3

6.1.3 Changing Screen Layout ........................................................................................................................................................... 6-1 6.1.4 Setting the Waveform Sweep Mode ...................................................................................................................................... 6-2

6.2 Viewing Minitrends .................................................................................................................................................................................. 6-2 6.2.1 Having a Split-Screen View of Minitrends............................................................................................................................ 6-2 6.2.2 Setting Minitrends ...................................................................................................................................................................... 6-3

6.3 Viewing OxyCRG ....................................................................................................................................................................................... 6-3 6.4 Viewing Other Patients ........................................................................................................................................................................... 6-4

6.4.1 Care Group .................................................................................................................................................................................... 6-4 6.4.2 Viewing the Care Group Overview Bar ................................................................................................................................. 6-5 6.4.3 Understanding the View Other Patient Window ............................................................................................................... 6-6

6.5 Understanding the Big Numerics Screen .......................................................................................................................................... 6-7

7 Alarms............................................................................................................................................................................. 7-1 7.1 Alarm Categories ....................................................................................................................................................................................... 7-1 7.2 Alarm Levels ............................................................................................................................................................................................... 7-2 7.3 Alarm Indicators ........................................................................................................................................................................................ 7-2

7.3.1 Alarm Lamp ................................................................................................................................................................................... 7-2 7.3.2 Alarm Messages ........................................................................................................................................................................... 7-2 7.3.3 Flashing Numeric ........................................................................................................................................................................ 7-3 7.3.4 Audible Alarm Tones ................................................................................................................................................................... 7-3 7.3.5 Alarm Status Symbols ................................................................................................................................................................ 7-4

7.4 Alarm Tone Configuration ...................................................................................................................................................................... 7-4 7.4.1 Setting the Minimum Alarm Volume..................................................................................................................................... 7-4 7.4.2 Changing the Alarm Volume ................................................................................................................................................... 7-4 7.4.3 Setting the Interval Between Alarm Sounds ....................................................................................................................... 7-5 7.4.4 Changing the Alarm Tone Pattern .......................................................................................................................................... 7-5 7.4.5 Setting the Reminder Tones..................................................................................................................................................... 7-6

7.5 Understanding the Alarm Setup Menu .............................................................................................................................................. 7-6 7.5.1 Setting Alarm Properties for All Parameters ........................................................................................................................ 7-7 7.5.2 Adjusting Alarm Limits Automatically ................................................................................................................................... 7-7 7.5.3 Setting Alarm Delay Time ....................................................................................................................................................... 7-10 7.5.4 Setting SpO2 Technical Alarm Delay ................................................................................................................................... 7-11 7.5.5 Setting Recording Length ...................................................................................................................................................... 7-11 7.5.6 Entering CPB Mode (Cardiopulmonary Bypass Mode) .................................................................................................. 7-11

7.6 Pausing Alarms ........................................................................................................................................................................................ 7-12 7.7 Switching Off All Alarms ....................................................................................................................................................................... 7-12 7.8 Resetting Alarms ..................................................................................................................................................................................... 7-13 7.9 Latching Alarms ....................................................................................................................................................................................... 7-14 7.10 Testing Alarms ....................................................................................................................................................................................... 7-15 7.11 Using Care Group Alarms ................................................................................................................................................................... 7-15

7.11.1 Care Group Auto Alarms ........................................................................................................................................................ 7-15 7.11.2 Setting Care Group Alert Tone............................................................................................................................................. 7-15 7.11.3 Resetting Care Group Alarms .............................................................................................................................................. 7-16

8 Monitoring ECG .............................................................................................................................................................. 8-1 8.1 Introduction ............................................................................................................................................................................................... 8-1

4 Passport 12m/Passport 17m Operator's Manual

8.2 Safety ............................................................................................................................................................................................................ 8-1

8.3 Preparing to Monitor ECG ...................................................................................................................................................................... 8-2

8.3.1 Preparing the Patient and Placing the Electrodes ............................................................................................................ 8-2

8.3.2 Choosing AHA or IEC Lead Placement .................................................................................................................................. 8-2

8.3.3 ECG Lead Placements ................................................................................................................................................................ 8-3

8.3.4 Checking Paced Status .............................................................................................................................................................. 8-4

8.4 Understanding the ECG Display ........................................................................................................................................................... 8-5

8.5 Changing ECG Settings ........................................................................................................................................................................... 8-6

8.5.1 Accessing ECG Menus ................................................................................................................................................................ 8-6

8.5.2 Choosing the Alarm Source ..................................................................................................................................................... 8-6

8.5.3 Changing ECG Wave Settings .................................................................................................................................................. 8-6

8.5.4 Changing the ECG Filter Settings ........................................................................................................................................... 8-7

8.5.5 Setting the ECG Lead Set .......................................................................................................................................................... 8-7

8.5.6 Choosing an ECG Display Screen ........................................................................................................................................... 8-7

8.5.7 Setting the Notch Filter ............................................................................................................................................................. 8-8

8.5.8 Changing the Pacer Reject Settings ...................................................................................................................................... 8-8

8.5.9 Enabling Smart Lead Off ........................................................................................................................................................... 8-8

8.5.10 Setting the Alarm Level for ECG Lead Off Alarms ............................................................................................................ 8-8

8.5.11 Adjusting QRS Volume ............................................................................................................................................................. 8-9

8.5.12 About the Defibrillator Synchronization ........................................................................................................................... 8-9

8.5.13 Adjusting the Minimum QRS Detection Threshold (For Advanced ECG Algorithm Only) .................................. 8-9

8.6 About ST Monitoring ............................................................................................................................................................................. 8-10

8.6.1 Switching ST Monitoring On and Off .................................................................................................................................. 8-10

8.6.2 Understanding the ST Display ............................................................................................................................................... 8-11

8.6.3 Saving the Current ST Segment as Reference .................................................................................................................. 8-12

8.6.4 Changing the Reference Segment ....................................................................................................................................... 8-12

8.6.5 Deleting a Reference Segment ............................................................................................................................................. 8-12

8.6.6 Recording the ST Segment ..................................................................................................................................................... 8-12

8.6.7 Changing the ST Alarm Limits ............................................................................................................................................... 8-13

8.6.8 Setting the ST Alarm Delay Time .......................................................................................................................................... 8-13

8.6.9 Adjusting ST Measurement Points ....................................................................................................................................... 8-13

8.7 QT/QTc Interval Monitoring (For Advanced ECG Algorithm Only) ........................................................................................... 8-14

8.7.1 QT/QTc Monitoring Limitations ............................................................................................................................................ 8-15

8.7.2 Enabling QT/QTc Monitoring ................................................................................................................................................. 8-15

8.7.3 Displaying QT/QTc Parameters and Waveform ................................................................................................................ 8-16

8.7.4 Accessing the QT View ............................................................................................................................................................. 8-16

8.7.5 Changing QT Settings .............................................................................................................................................................. 8-17

8.8 About Arrhythmia Monitoring ............................................................................................................................................................ 8-18

8.8.1 Understanding the Arrhythmia Events ............................................................................................................................... 8-19

8.8.2 Changing Arrhythmia Alarm Settings ................................................................................................................................. 8-20

8.8.3 Changing Arrhythmia Threshold Settings ......................................................................................................................... 8-20

8.8.4 Setting the Extended Arrhythmia (For Advanced ECG Algorithm Only) .................................................................. 8-21

8.8.5 Reviewing Arrhythmia Events ............................................................................................................................................... 8-21

8.9 ECG Relearning ........................................................................................................................................................................................ 8-21

8.9.1 Initiating an ECG Relearning Manually ............................................................................................................................... 8-21

8.9.2 Automatic ECG Relearning ..................................................................................................................................................... 8-22

Passport 12m/Passport 17m Operator's Manual 5

8.10 12-lead ECG Monitoring ..................................................................................................................................................................... 8-22

8.10.1 Setting ECG Waveform Sequence ...................................................................................................................................... 8-23

8.10.2 Extending the Rhythm Lead Waveform area .................................................................................................................. 8-23

8.11 Resting 12-Lead ECG Analysis ........................................................................................................................................................... 8-23

8.11.1 Accessing the 12-Lead Screen ............................................................................................................................................. 8-23

8.11.2 Entering Patient Information ............................................................................................................................................... 8-24

8.11.3 12-Lead Setup .......................................................................................................................................................................... 8-25

8.11.5 Resting 12-lead ECG Analysis............................................................................................................................................... 8-26

8.11.6 12-lead ECG Report ................................................................................................................................................................ 8-28

8.12 Troubleshooting ................................................................................................................................................................................... 8-29

9 Monitoring Respiration (Resp) ...................................................................................................................................... 9-1

9.1 Introduction ............................................................................................................................................................................................... 9-1

9.2 Safety Information .................................................................................................................................................................................... 9-1

9.3 Understanding the Resp Display ......................................................................................................................................................... 9-1

9.4 Placing Resp Electrodes .......................................................................................................................................................................... 9-2

9.4.1 Optimizing Lead Placement for Resp .................................................................................................................................... 9-3

9.4.2 Cardiac Overlay ............................................................................................................................................................................ 9-3

9.4.3 Abdominal Breathing ................................................................................................................................................................. 9-3

9.4.4 Lateral Chest Expansion ............................................................................................................................................................ 9-3

9.5 Choosing the Respiration Lead ............................................................................................................................................................ 9-3

9.6 Changing the Apnea Alarm Delay ....................................................................................................................................................... 9-3

9.7 Changing Resp Detection Mode .......................................................................................................................................................... 9-4

9.8 Changing Resp Wave Settings .............................................................................................................................................................. 9-4

9.9 Setting Respiration Rate (RR) Source .................................................................................................................................................. 9-5

9.10 Setting Alarm Properties ...................................................................................................................................................................... 9-5

10 Monitoring PR ........................................................................................................................................................... 10-1

10.1 Introduction ........................................................................................................................................................................................... 10-1

10.2 Setting the PR Source ......................................................................................................................................................................... 10-1

10.3 Selecting the Active Alarm Source .................................................................................................................................................. 10-2

10.4 QRS Tone ................................................................................................................................................................................................. 10-2

11 Monitoring SpO2 ........................................................................................................................................................ 11-1

11.1 Introduction ........................................................................................................................................................................................... 11-1

11.2 Safety ........................................................................................................................................................................................................ 11-2

11.3 Identifying SpO2 Modules .................................................................................................................................................................. 11-2

11.4 Applying the Sensor ............................................................................................................................................................................ 11-2

11.5 Changing SpO2 Settings ..................................................................................................................................................................... 11-3

11.5.1 Accessing SpO2 Menus ......................................................................................................................................................... 11-3

11.5.2 Adjusting the Desat Alarm .................................................................................................................................................... 11-3

11.5.3 Setting SpO2 Sensitivity........................................................................................................................................................ 11-3

11.5.4 Changing Averaging Time .................................................................................................................................................... 11-3

11.5.5 Monitoring SpO2 and NIBP Simultaneously ................................................................................................................... 11-4

11.5.6 Sat-Seconds Alarm Management ....................................................................................................................................... 11-4

11.5.7 Changing the Speed of the Pleth/Plethb Wave ............................................................................................................. 11-5

8.11.4 Setting the 12-lead Order...................................................................................................................................................... 8-26

6 Passport 12m/Passport 17m Operator's Manual

11.5.8 Zooming PI Value .................................................................................................................................................................... 11-5 11.5.9 Setting the Alarm Level for SpO2 Sensor Off Alarm ..................................................................................................... 11-5 11.5.10 Setting the SpO2 Tone Mode ............................................................................................................................................ 11-6

11.6 Measurement Limitations .................................................................................................................................................................. 11-6 11.7 Masimo Information ............................................................................................................................................................................ 11-7 11.8 Nellcor Information .............................................................................................................................................................................. 11-7 11.9 Troubleshooting .................................................................................................................................................................................... 11-8

12 Monitoring NIBP ....................................................................................................................................................... 12-1 12.1 Introduction ........................................................................................................................................................................................... 12-1 12.2 Safety ....................................................................................................................................................................................................... 12-2 12.3 Measurement Limitations .................................................................................................................................................................. 12-2 12.4 Measurement Methods ...................................................................................................................................................................... 12-3 12.5 Setting Up the NIBP Measurement ................................................................................................................................................. 12-3

12.5.1 Preparing the Patient ............................................................................................................................................................. 12-3 12.5.2 Preparing to Measure NIBP .................................................................................................................................................. 12-3 12.5.3 Starting and Stopping Measurements ............................................................................................................................. 12-4 12.5.4 Correcting the Measurement if Limb is not at Heart Level ........................................................................................ 12-4 12.5.5 Enabling NIBP Auto Cycling and Setting the Interval .................................................................................................. 12-4 12.5.6 Enabling Measurement on Clock ....................................................................................................................................... 12-4 12.5.7 Starting a STAT Measurement ............................................................................................................................................. 12-5

12.6 Understanding the NIBP Numerics ................................................................................................................................................. 12-5 12.7 Changing NIBP Settings ..................................................................................................................................................................... 12-6

12.7.1 Setting the Initial Cuff Inflation Pressure ......................................................................................................................... 12-6 12.7.2 Setting NIBP Alarm Properties ............................................................................................................................................ 12-6 12.7.3 Displaying NIBP List ............................................................................................................................................................... 12-6 12.7.4 Setting the Pressure Unit ...................................................................................................................................................... 12-6 12.7.5 Switching On NIBP End Tone ............................................................................................................................................... 12-6

12.8 Assisting Venous Puncture ................................................................................................................................................................ 12-7

13 Monitoring Temp ...................................................................................................................................................... 13-1 13.1 Introduction ........................................................................................................................................................................................... 13-1 13.2 Safety ....................................................................................................................................................................................................... 13-1 13.3 Taking a Temp Measurement ............................................................................................................................................................ 13-1 13.4 Understanding the Temp Display .................................................................................................................................................... 13-1 13.5 Setting the Temperature Unit ........................................................................................................................................................... 13-2

14 Monitoring IBP .......................................................................................................................................................... 14-1 14.1 Introduction ........................................................................................................................................................................................... 14-1 14.2 Safety ....................................................................................................................................................................................................... 14-1 14.3 Zeroing the Transducer ...................................................................................................................................................................... 14-2 14.4 Setting Up the Pressure Measurement .......................................................................................................................................... 14-3 14.5 Understanding the IBP Display ........................................................................................................................................................ 14-4 14.6 Changing IBP Settings ........................................................................................................................................................................ 14-4

14.6.1 Changing a Pressure for Monitoring ................................................................................................................................. 14-4 14.6.2 Setting Alarm Properties ...................................................................................................................................................... 14-5

Passport 12m/Passport 17m Operator's Manual 7

14.6.3 Changing Averaging Time .................................................................................................................................................... 14-5 14.6.4 Setting Up the IBP Wave ....................................................................................................................................................... 14-5 14.6.5 Setting the Pressure Unit ...................................................................................................................................................... 14-5 14.6.6 Enabling PPV Measurement and Setting PPV Source ................................................................................................. 14-6

14.7 Overlapping IBP Waveforms ............................................................................................................................................................. 14-6 14.8 Measuring PAWP ................................................................................................................................................................................... 14-7

14.8.1 Preparing to Measure PAWP ................................................................................................................................................ 14-7 14.8.2 Setting Up the PAWP Measurement ................................................................................................................................. 14-8 14.8.3 Understanding the PAWP Setup Menu ............................................................................................................................ 14-9

14.9 Troubleshooting ................................................................................................................................................................................ 14-10

15 Monitoring Cardiac Output ...................................................................................................................................... 15-1 15.1 Introduction ........................................................................................................................................................................................... 15-1 15.2 Understanding the C.O. Display ....................................................................................................................................................... 15-2 15.3 Influencing Factors .............................................................................................................................................................................. 15-2 15.4 Setting Up the C.O. Measurement .................................................................................................................................................. 15-3 15.5 Measuring the Blood Temperature ................................................................................................................................................. 15-6 15.6 Changing C.O. Settings ....................................................................................................................................................................... 15-6

15.6.1 Setting the Temperature Unit ............................................................................................................................................. 15-6 15.6.2 Setting Alarm Properties ...................................................................................................................................................... 15-6

16 Monitoring CCO/SvO2 ............................................................................................................................................... 16-1 16.1 Introduction ........................................................................................................................................................................................... 16-1 16.2 Safety ....................................................................................................................................................................................................... 16-1 16.3 Automatic Communication Detection .......................................................................................................................................... 16-2 16.4 Connecting the Device ....................................................................................................................................................................... 16-2

16.4.1 Connecting the Vigilance II® Monitor ............................................................................................................................... 16-2 16.4.2 Connecting the VigileoTM Monitor ..................................................................................................................................... 16-4 16.4.3 Connecting the EV1000 Monitor ....................................................................................................................................... 16-5

16.5 Understanding CCO Parameters ...................................................................................................................................................... 16-6 16.5.1 Hemodynamic Parameters for Vigilance II® Monitor ................................................................................................... 16-6 16.5.2 Hemodynamic Parameters for VigileoTM Monitor ......................................................................................................... 16-7 16.5.3 Hemodynamic Parameters for EV1000 Monitor ............................................................................................................ 16-7

16.6 Understanding the CCO Display ...................................................................................................................................................... 16-8 16.7 Changing CCO Settings ...................................................................................................................................................................... 16-9

16.7.1 Selecting Vascular Resistance Unit .................................................................................................................................... 16-9 16.7.2 Selecting the Displayed Parameters ................................................................................................................................. 16-9 16.7.3 Checking the C.O. Measurements ..................................................................................................................................... 16-9 16.7.4 Setting Signal Output ......................................................................................................................................................... 16-10 16.7.5 Selecting Alarm Properties ............................................................................................................................................... 16-10

16.8 Understanding SvO2/ScvO2 Parameters ...................................................................................................................................... 16-11 16.8.1 Oxygenation Parameters for Vigilance II® Monitor ..................................................................................................... 16-11 16.8.2 Oxygenation Parameters for VigileoTM Monitor ........................................................................................................... 16-11 16.8.3 Oxygenation Parameters for EV1000 Monitor ............................................................................................................ 16-12

16.9 Understanding the SvO2/ScvO2 Display ..................................................................................................................................... 16-12 16.10 Changing SvO2/ScvO2 Settings ................................................................................................................................................... 16-13

8 Passport 12m/Passport 17m Operator's Manual

16.10.1 Setting Signal Output ...................................................................................................................................................... 16-13 16.10.2 Selecting Alarm Properties ............................................................................................................................................. 16-13

17 Monitoring ScvO2 ...................................................................................................................................................... 17-1 17.1 Introduction ........................................................................................................................................................................................... 17-1 17.2 Safety Information ............................................................................................................................................................................... 17-1 17.3 Performing ScvO2 Measurements ................................................................................................................................................... 17-2 17.4 ScvO2 Calibration .................................................................................................................................................................................. 17-3 17.5 Understanding the ScvO2 Display ................................................................................................................................................... 17-3 17.6 Understanding ScvO2 Parameters ................................................................................................................................................... 17-4 17.7 Changing ScvO2 Settings ................................................................................................................................................................... 17-4

17.7.1 Selecting Hb/Hct ..................................................................................................................................................................... 17-4 17.7.2 Selecting Alarm Properties .................................................................................................................................................. 17-4

18 Monitoring CO2 ......................................................................................................................................................... 18-1 18.1 Introduction ........................................................................................................................................................................................... 18-1 18.2 Identifying CO2 Modules .................................................................................................................................................................... 18-2 18.3 Preparing to Measure CO2 ................................................................................................................................................................. 18-2

18.3.1 Making a Sidestream CO2 Measurement ........................................................................................................................ 18-3 18.3.2 Making a Microstream CO2 Measurement ...................................................................................................................... 18-4

18.4 Changing CO2 Settings ....................................................................................................................................................................... 18-4 18.4.1 Accessing CO2 Menus ........................................................................................................................................................... 18-4 18.4.2 Setting the CO2 Unit ............................................................................................................................................................... 18-4 18.4.3 Setting Up Gas Compensations ......................................................................................................................................... 18-5 18.4.4 Setting Up Humidity Compensation ................................................................................................................................ 18-5 18.4.5 Setting the Apnea Alarm Delay .......................................................................................................................................... 18-6 18.4.6 Choosing a Time Interval for Peak-Picking...................................................................................................................... 18-6 18.4.7 Setting the Flow Rate ............................................................................................................................................................ 18-6 18.4.8 Setting up the CO2 Wave ..................................................................................................................................................... 18-7 18.4.9 Setting RR Source ................................................................................................................................................................... 18-7 18.4.10 Barometric Pressure Compensation ............................................................................................................................... 18-7 18.4.11 Entering the Standby Mode .............................................................................................................................................. 18-7

18.5 Measurement Limitations .................................................................................................................................................................. 18-8 18.6 Leakage test ........................................................................................................................................................................................... 18-8 18.7 Troubleshooting the Sidestream CO2 Sampling System .......................................................................................................... 18-9 18.8 Removing Exhaust Gases from the System .................................................................................................................................. 18-9 18.9 Zeroing the Sensor .............................................................................................................................................................................. 18-9 18.10 Calibrating the Sensor ................................................................................................................................................................... 18-10 18.11 Oridion Information ....................................................................................................................................................................... 18-10

19 Monitoring AG ........................................................................................................................................................... 19-1 19.1 Introduction ........................................................................................................................................................................................... 19-1 19.2 Identifying AG Modules ...................................................................................................................................................................... 19-1 19.3 Understanding the AG Display ......................................................................................................................................................... 19-2 19.4 MAC Values ............................................................................................................................................................................................. 19-3 19.5 Preparing to Measure AG ................................................................................................................................................................... 19-4

Passport 12m/Passport 17m Operator's Manual 9

19.6 Changing AG Settings ......................................................................................................................................................................... 19-5 19.6.1 Setting Gas Unit ...................................................................................................................................................................... 19-5 19.6.2 Setting the Apnea Alarm Delay .......................................................................................................................................... 19-5 19.6.3 Changing the Sample Flow Rate ........................................................................................................................................ 19-6 19.6.4 Entering the Standby Mode ................................................................................................................................................ 19-6 19.6.5 Setting Up the AG Wave ........................................................................................................................................................ 19-7 19.6.6 Setting RR Source ................................................................................................................................................................... 19-7

19.7 Changing the Anesthetic Agent ....................................................................................................................................................... 19-7 19.8 Measurement Limitations .................................................................................................................................................................. 19-7 19.9 Troubleshooting ................................................................................................................................................................................... 19-8

19.9.1 When the Gas Inlet is Blocked ............................................................................................................................................. 19-8 19.9.2 When an Internal Occlusion Occurs .................................................................................................................................. 19-8

19.10 Removing Exhaust Gases from the System................................................................................................................................ 19-8

20 Monitoring Bispectral Index (BIS) ............................................................................................................................ 20-1 20.1 Introduction ........................................................................................................................................................................................... 20-1 20.2 Safety Information ............................................................................................................................................................................... 20-2 20.3 Understanding the BIS Display ........................................................................................................................................................ 20-3

20.3.1 BIS Parameter Area ................................................................................................................................................................. 20-3 20.3.2 BIS Waveform Area.................................................................................................................................................................. 20-5 20.3.3 BIS Expand View ...................................................................................................................................................................... 20-6

20.4 Setting up the BIS Measurement ..................................................................................................................................................... 20-8 20.5 Auto Impedance Check ...................................................................................................................................................................... 20-9 20.6 Sensor Check ......................................................................................................................................................................................... 20-9 20.7 BIS Sensor Check Window .............................................................................................................................................................. 20-10 20.8 Choosing the BIS Smoothing Rate ................................................................................................................................................ 20-11 20.9 Changing the Secondary Parameters .......................................................................................................................................... 20-11 20.10 Changing the EEG Wave Size ........................................................................................................................................................ 20-11 20.11 Changing the Speed of the EEG Wave ....................................................................................................................................... 20-11 20.12 Setting the Trend Length .............................................................................................................................................................. 20-12 20.13 Switching the Filter On or Off ...................................................................................................................................................... 20-12 20.14 Covidien Information ..................................................................................................................................................................... 20-12

21 Monitoring NMT (From TOF-Watch® SX Monitor) .................................................................................................... 21-1 21.1 Introduction ........................................................................................................................................................................................... 21-1 21.2 Safety ....................................................................................................................................................................................................... 21-1 21.3 Connecting a TOF-Watch® SX monitor .......................................................................................................................................... 21-1 21.4 NMT Parameters.................................................................................................................................................................................... 21-1 21.5 Accessing the NMT Setup menu ...................................................................................................................................................... 21-2 21.6 NMT Display ........................................................................................................................................................................................... 21-2

22 Monitoring Respiratory Mechanics (RM) ................................................................................................................. 22-1 22.1 Introduction ........................................................................................................................................................................................... 22-1 22.2 Safety Information ............................................................................................................................................................................... 22-2 22.3 Preparing to Monitor RM ................................................................................................................................................................... 22-3 22.4 Understanding the RM Display ........................................................................................................................................................ 22-4

10 Passport 12m/Passport 17m Operator's Manual

22.5 Changing RM Settings ........................................................................................................................................................................ 22-4 22.5.1 Accessing RM Menus ............................................................................................................................................................. 22-4 22.5.2 Setting the Apnea Alarm Delay .......................................................................................................................................... 22-5 22.5.3 Selecting TV or MV for Display ............................................................................................................................................ 22-5 22.5.4 Selecting Flow or Vol Waveform for Display ................................................................................................................... 22-5 22.5.5 Changing the Wave Sweep Speed..................................................................................................................................... 22-5 22.5.6 Changing the Wave Scale ..................................................................................................................................................... 22-6 22.5.7 Setting RR Source ................................................................................................................................................................... 22-6

22.6 Understanding the Respiratory Loops ........................................................................................................................................... 22-6 22.7 Zeroing the RM Module ..................................................................................................................................................................... 22-7 22.8 Calibrating the Flow Sensor .............................................................................................................................................................. 22-7

23 Monitoring NMT (from Mindray NMT Module) ........................................................................................................ 23-1 23.1 Introduction ........................................................................................................................................................................................... 23-1 23.2 Safety ....................................................................................................................................................................................................... 23-1 23.3 Stimulation Modes ............................................................................................................................................................................... 23-2

23.3.1 Train-Of-Four (TOF) ................................................................................................................................................................ 23-2 23.3.2 Single Twitch (ST).................................................................................................................................................................... 23-3 23.3.3 Post-Tetanic Count (PTC) ...................................................................................................................................................... 23-3 23.3.4 Double-Burst Stimulation (DBS) ......................................................................................................................................... 23-3

23.4 Preparing for NMT Measurement .................................................................................................................................................... 23-4 23.4.1 Skin Preparation ...................................................................................................................................................................... 23-4 23.4.2 Placing the Electrodes and Sensor .................................................................................................................................... 23-4

23.5 Accessing the NMT Setup Menu ...................................................................................................................................................... 23-5 23.6 Calibrating the NMT Measurement ................................................................................................................................................ 23-6

23.6.1 Starting/Stopping NMT Measurements ........................................................................................................................... 23-6 23.7 Change NMT Measurement Settings ............................................................................................................................................. 23-7

23.7.1 Changing Stimulation Mode ............................................................................................................................................... 23-7 23.7.2 Changing Stimulation Current ........................................................................................................................................... 23-7 23.7.3 Changing Pulse Width ........................................................................................................................................................... 23-7 23.7.4 Changing Measurement Interval ....................................................................................................................................... 23-7

23.8 Enabling Block Recovery Note ......................................................................................................................................................... 23-7 23.9 Adjusting Stimulation Tone Volume ............................................................................................................................................... 23-7 23.10 Understanding NMT Display .......................................................................................................................................................... 23-8 23.11 Recalling Calibration Information ................................................................................................................................................. 23-9

24 Device Integration .................................................................................................................................................... 24-1 24.1 Introduction ........................................................................................................................................................................................... 24-1 24.2 Safety Information ............................................................................................................................................................................... 24-1 24.3 Supported Devices and Device Connection Method ............................................................................................................... 24-2 24.4 Differences in Displayed Values ....................................................................................................................................................... 24-2 24.5 Devices Integrated Window .............................................................................................................................................................. 24-3 24.6 System Functions of the Monitor ............................